Symptom Severity and Care Delay among Patients with Serious Mental Illness
Autor: | Nicholas O Daneshvari, Katrina Rodriguez, Stanislav Spivak, William W. Eaton, Ramin Mojtabai, Bernadette Cullen |
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Rok vydání: | 2021 |
Předmět: |
education.field_of_study
medicine.medical_specialty Positive and Negative Syndrome Scale business.industry Mental Disorders Population Public Health Environmental and Occupational Health MEDLINE Odds ratio General medical services Mental illness medicine.disease Confidence interval medicine Humans education business Psychiatry Depression (differential diagnoses) |
Zdroj: | Journal of Health Care for the Poor and Underserved. 32:1312-1319 |
ISSN: | 1548-6869 |
Popis: | Purpose This study investigated associations between psychiatric symptom severity and delay in seeking general medical services among individuals with serious mental illness. Methods The association of psychiatric symptom severity, measured by the Positive and Negative Syndrome Scale (PANSS), and general medical care delay was examined among 271 patients at two urban, outpatient psychiatric clinics. Results Higher scores for PANSS paranoid/belligerence were associated with delays in accessing general medical care (adjusted odds ratio [AOR]=1.46, 95% confidence interval [CI]=1.04-2.01, p=.025). Higher scores on the depression symptom cluster were also associated with care delay (AOR=1.43, 95% CI=1.06-1.93, p=.018). Other symptom types showed no associations with care delay. Conclusion Severity of specific psychiatric symptoms was associated with delays in seeking general medical care among people with serious mental illness. Increased focus on psychiatric symptom management may reduce medical care delay, thereby reducing the elevated morbidity and mortality among this population. |
Databáze: | OpenAIRE |
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